Individual
SCOT KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3188 W WIND CT, EAGLE, ID 83616-4692
(208) 794-6975
Mailing address
3188 W WIND CT, EAGLE, ID 83616-4692
(208) 794-6975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63149
ID
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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